Date of Application
Store Location
Name *
Home Phone
Cell
Email
Address
City
State
Zip
How long have you resided at this address?
Position(s) Applied for
Referral Source
If applying for a position where driving is required, you must meet our insurance company's requirements.
Do you have a valid drivers license?
Name on License
Type
State
Expiration date of license
Do you have more than one license that is currently valid?
Type
State
Expiration date of license
Have you ever been denied a license or had your license suspended?
If yes, please provide an explanation
Have you worked for this company before?
Date From:
Date To:
Position
Location
Reason for leaving
May we contact your present employer?
Rate of pay expected
Is there any reason you might be unable to perform the essential functions of the job for which you have applied [as described in the job description]?
If yes, explain if you wish.
Have you been convicted of a felony?
(Please note that a “yes” will not bar you from consideration for employment.)
If yes, please explain
Employment History
(NOTE: List employers in reverse order starting with the most recent.)
Employer
Address
City
State
Zip
Supervisor's Name
Phone Number
May we contact?
Employed From
Employed To
Position Held
Duties
What do you like most about your job?
Reason for leaving?
Employer
Address
City
State
Zip
Supervisor's Name
Phone Number
May we contact?
Employed From
Employed To
Position Held
Duties
What do you like most about your job?
Reason for leaving?
Employer
Address
City
State
Zip
Supervisor's Name
Phone Number
May we contact?
Employed From
Employed To
Position Held
Duties
What do you like most about your job?
Reason for leaving?
Employer
Address
City
State
Zip
Supervisor's Name
Phone Number
May we contact?
Employed From
Employed To
Position Held
Duties
What do you like most about your job?
Reason for leaving?
Add Another Employer
Education
Name
Address
Grade Completed
Name
Address
Years Completed
Course of Study
Name
Address
Years Completed
Course of Study
Special skills, qualifications and considerations
Summarize special skills and qualifications, volunteer activities, military experience, employment or other activities related to the job you are seeking:
References
List three (3) non-relatives who are familiar with your qualifications, work history and ability.
Name
Occupation
Years Known
Telephone Number
Name
Occupation
Years Known
Telephone Number
Name
Occupation
Years Known
Telephone Number
Please list violations of motor vehicle laws in last three (3) years. (Include approximate date and violation)
Please list any motor vehicle accidents in the last three (3) years and include the date of accident.
EXPERIENCE AND QUALIFICATIONS - OTHER
Show any trucking, transportation or other experience that may help in your work for this company
List courses and training other than shown elsewhere in this application
List special equipment or technical materials you can work with (other than those already shown)
PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID. IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE ASK A COMPANY REPRESENTATIVE BEFORE SIGNING.
Rees Truck & Trailer, Inc. to investigate all statements contained in this Employment Application as they may deem necessary in arriving at an employment decision. I understand that any false information provided by me will likely result in a refusal to hire or immediate discharge if I am employed. I authorize any of the persons or organizations named in this Application to give you complete information and records regarding my employment, education, character and qualifications.
Rees Truck & Trailer, Inc. as they presently exist or are later modified. If hired, I understand my employment can be terminated, at the discretion of Rees Truck & Trailer, Inc. or at my option, without notice, at any time and for any reason.
Rees Truck & Trailer, Inc. has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment, except as specifically stated in a current written agreement signed by the president of Rees Truck & Trailer, Inc. .
By selecting the "I Accept" button below, you are signing this Employment Application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Application.
Signature of Applicant *
Date
This application is valid for only ninety (90) days from the date signed. To be considered for job openings more than ninety (90) days from date signed, a new application will need to be submitted.
